Multidisciplinary management of Paget-Schroetter syndrome. A case series of eight patients

Abstract

Paget-Schroetter syndrome (PSS) in the context of upper extremity deep venous thrombosis (DVT) is an uncommon but potentially very serious condition affecting young, healthy adults, in which secondary post-thrombotic syndrome (PTS) can be a complication with major implications. The best treatment option remains controversial, with current guidelines recommending anticoagulation for at least 3 months. However, an incidence of PTS of approximately 50% after 6 months, 30% after 1 year and 25% after 2 years has been found using this therapeutic approach. Consequently, specialized units recommend local thrombolysis and early decompressive surgery. We describe a series of eight cases treated in this way. None of the patients showed signs of complications, and an early return to regular activities with no PTS was observed in 90% of cases.

Keywords: Effort thrombosis; Paget-Schroetter syndrome; Síndrome de Paget-Schroetter; Síndrome de la salida del tórax; Thoracic outlet syndrome; Trombosis de esfuerzo; Trombosis venosa profunda de extremidad superior; Upper extremity deep vein thrombosis.